Director, Clinical Strategy and Integrated Specialty Solutions

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $124k - $211k / year

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

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Prime Therapeutics

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1998

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

Prime Therapeutics is a trusted pharmacy solutions provider dedicated to transforming health care through innovation and transparency. The company offers a wide range of services including clinical solutions for improved member outcomes, drug access and affordability, specialty drug management, and condition management for chronic health issues. With over 7,000 employees, Prime Therapeutics aims to challenge norms in the pharmacy industry, providing exceptional experiences and simplifying the complex for millions across the nation. Their mission goes beyond profit, focusing on creating transformative impacts with long-term solutions, utilizing modern technology and holistic approaches in specialty pharmacy management. Owned by mission-driven partners, Prime Therapeutics emphasizes true transparency and conflict-free service, fostering a culture of care and shared purpose in health care.

📋 Description

• Shape and execute the clinical strategy for pharmacy, medical and integrated products • Lead development and oversight of a comprehensive portfolio of Specialty clinical programs • Drive innovation, measurable outcomes, and strategic alignment with business goals • Serve as a Specialty subject matter expert and strategic partner • Collaborate across clinical, technical, operational, and business teams to deliver innovative, scalable solutions • Collaborate with external stakeholders to ensure successful delivery of Specialty programs • Develop and deliver strategic business roadmaps for medical, pharmacy, or integrated specialty solutions • Develop clinical solutions and strategic roadmaps for pharmacy, medical and integrated products • Oversee development and implementation of product solutions • Lead or support Specialty and Clinical program and product teams • Maintain knowledge of key economic and clinical industry trends • Provide insight into competitor products and services • Partner with Health Outcomes and Analytics teams to manage and monitor clinical and economic data • Collaborate with Pharmacy Trade Relations on manufacturer contracting and contract performance • Partner with Pharmacy teams on UM programs, medical policy, formulary, pipeline, P&T committee recommendations, and drug lists • Collaborate with Claims Operations and Clinical Operations for pharmacy and medical benefits • Partner with Technology and Architecture teams • Work with Networks on product development, clinical strategy, therapeutic category performance, and reporting • Lead or support presentations of program results and solutions to clients • Perform other duties as assigned

🎯 Requirements

• Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy degree • 3 years of pharmacy experience in a PBM, managed care, specialty pharmacy or cross-benefit management • Current pharmacist license to practice in the applicable state(s) • Must be eligible to work in the United States without the need for work visa or residency sponsorship • Ability to facilitate change • Ability to develop relationships and influence at all organizational levels • Demonstrated ability to distill complex concepts or situations into concise and compelling communications • Critical thinking skills and ability to anticipate issues and develop innovative solutions • Ability to travel 25% • Advanced degree or Certification in specific therapeutic category preferred • Integrated Specialty: Medical and pharmacy drug management experience preferred • Integrated Specialty: Cross-functional project and/or product development, influencing leaders and business decisions preferred • Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job • Comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures • Able to perform the essential functions of the job

🏖️ Benefits

• Benefits, incentives and additional compensation • Tobacco-Free Workplace • Equal opportunity and affirmative action employment • Reasonable accommodations for employees with disabilities

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